Provider Demographics
NPI:1982006052
Name:CREET & COMPANY, LLC
Entity Type:Organization
Organization Name:CREET & COMPANY, LLC
Other - Org Name:PREMIER HOME CARE OF FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NACRESHA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:863-268-8287
Mailing Address - Street 1:274 W CENTRAL AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-2935
Mailing Address - Country:US
Mailing Address - Phone:863-268-8287
Mailing Address - Fax:863-968-2727
Practice Address - Street 1:274 W CENTRAL AVE
Practice Address - Street 2:SUITE K
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-2935
Practice Address - Country:US
Practice Address - Phone:863-268-8287
Practice Address - Fax:863-968-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-20
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health